Chest
Volume 94, Issue 4, October 1988, Pages 891-892
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Heyde's Syndrome

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We describe a patient with Heyde's syndrome in whom upper gastrointestinal angiodysplasias were demonstrated and who was successfully treated by bioprosthetic aortic valve replacement. (Chest 1988; 94:891-92)

Section snippets

CASE REPORT

A 68-year-old woman presented initially with acute congestive heart failure and was found on examination to have aortic stenosis and incompetence. Coronary angiography confirmed the diagnosis, and a gradient of 60 mm Hg across the calcified aortic valve was recorded. She had a six-year history of unexplained anemia (normocytic, normochronic) that had been extensively investigated on several occasions with hematologic studies, including bone marrow examination, fecal occult blood screening, and

DISCUSSION

This case report is a typical illustration of Heyde's syndrome, that of calcific aortic valve disease and anemia presumed to be secondary to occult gastrointestinal bleeding from vascular ectasias, and also shows that such lesions may occur in the upper gastrointestinal tract This uncommon site should therefore be considered if angiodysplasias of the colon, the usual site of such lesions,4 are not demonstrated. Indeed, a recent review of over 90 cases demonstrated angiodysplasias in the upper

ACKNOWLEDGMENT

We wish to thank Heather Motloch for her help in the preparation of this paper.

REFERENCES (5)

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